Individual
BEVERLY HASSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2021 MAHANEY AVE STE 6, TAHLEQUAH, OK 74464-5795
(918) 485-5115
(918) 458-5119
Mailing address
PO BOX 721018, NORMAN, OK 73070-4786
(405) 809-8713
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4794
OK
Other
Enumeration date
06/02/2015
Last updated
10/26/2021
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